Itemized · Procedures · Ureteroscopy with lithotripsy (kidney stone) · with Medicaid / Medi-Cal

Ureteroscopy with lithotripsy (kidney stone) with Medicaid / Medi-Cal.

Negotiated rates Medicaid / Medi-Cal pays for ureteroscopy with lithotripsy (kidney stone) at 63 US hospitals. Range: $60 to $13,792. Your specific cost depends on your plan tier, deductible status, and coinsurance — see the comparison tool to model your exact out-of-pocket.

Top hospitals by Medicaid / Medi-Cal rate.

#	Hospital	Medicaid / Medi-Cal rate
1	UC San Diego Health San Diego, CA	$60 – $514
2	Henry Ford Hospital Detroit, MI	$212 – $2,943
3	Henry Ford West Bloomfield Hospital West Bloomfield, MI	$212 – $2,943
4	QUEENS HOSPITAL CENTER Jamaica, NY	$212 – $425
5	Bellevue Hospital Center New York, NY	$214 – $427
6	Kings County Hospital Center Brooklyn, NY	$219 – $438
7	WOODHULL MEDICAL & MENTAL HEALTH CENTER Brooklyn, NY	$219 – $438
8	Seattle Children's Hospital Seattle, WA	$222
9	Montefiore Medical Center Bronx, NY	$222 – $6,693
10	M Health Fairview University of Minnesota Medical Center Minneapolis, MN	$260 – $4,741
11	UT Southwestern Medical Center Dallas, TX	$306 – $1,858
12	Jefferson Abington Hospital Philadelphia, PA	$313 – $1,584
13	Children's Medical Center Dallas Dallas, TX	$336 – $2,265
14	Cleveland Clinic Cleveland, OH	$339 – $393
15	HARLEM HOSPITAL CENTER New York, NY	$342
16	Jacobi Medical Center Bronx, NY	$350
17	METROPOLITAN HOSPITAL CENTER New York, NY	$350
18	MLK Community Hospital Los Angeles, CA	$354 – $8,069
19	St. Mary Medical Center Long Beach, CA	$354 – $2,235
20	Whittier Hospital Medical Center Whittier, CA	$354 – $6,207
21	Coast Plaza Hospital Norwalk, CA	$362
22	Atrium Health Carolinas Medical Center Charlotte, NC	$363
23	California Hospital Medical Center Los Angeles, CA	$402 – $7,196
24	St. Joseph's Hospital and Medical Center Phoenix, AZ	$405 – $5,418
25	Northridge Hospital Medical Center Northridge, CA	$407 – $2,235
26	FRENCH HOSPITAL MEDICAL CENTER San Luis Obispo, CA	$407 – $500
27	SEQUOIA HOSPITAL Redwood City, CA	$407 – $550
28	DOMINICAN HOSPITAL Santa Cruz, CA	$407 – $500
29	MERCY GENERAL HOSPITAL Sacramento, CA	$407 – $1,524
30	MERCY SAN JUAN MEDICAL CENTER Carmichael, CA	$407 – $1,524
31	METHODIST HOSPITAL OF SACRAMENTO Sacramento, CA	$407 – $1,524
32	WOODLAND MEMORIAL HOSPITAL Woodland, CA	$407 – $1,524
33	Glendale Memorial Hospital Glendale, CA	$443 – $2,235
34	Vanderbilt University Medical Center Nashville, TN	$477 – $3,852
35	Allegheny General Hospital Pittsburgh, PA	$523 – $1,280
36	Forbes Hospital Monroeville, PA	$523 – $8,536
37	Jefferson Regional Medical Center Jefferson Hills, PA	$523 – $1,280
38	MERCY MEDICAL CENTER REDDING Redding, CA	$564 – $1,524
39	Sharp Grossmont Hospital La Mesa, CA	$732 – $1,848
40	UPMC Presbyterian Shadyside Pittsburgh, PA	$931
41	Scripps Memorial Hospital La Jolla La Jolla, CA	$1,421
42	Scripps Mercy Hospital San Diego San Diego, CA	$1,421
43	SCRIPPS GREEN HOSPITAL La Jolla, CA	$1,421
44	SCRIPPS MEMORIAL HOSPITAL - ENCINITAS Encinitas, CA	$1,421
45	Piedmont Atlanta Hospital Atlanta, GA	$1,616
46	Texas Health Presbyterian Hospital Dallas Dallas, TX	$1,689 – $1,825
47	Parkland Memorial Hospital Dallas, TX	$1,774 – $7,173
48	Northwell Long Island Jewish Medical Center Queens / Nassau, NY	$1,775 – $2,325
49	Lenox Hill Hospital New York, NY	$1,775 – $2,325
50	North Shore University Hospital Manhasset, NY	$1,775 – $2,325

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About these rates.

Hospitals are required by federal law (45 CFR 180.50) to publish the rates they negotiated with each insurer for each procedure. These numbers are the rates the hospital published for Medicaid / Medi-Cal plans, pulled directly from each hospital's machine-readable file.

The range column reflects different Medicaid / Medi-Cal plan tiers (HMO, PPO, EPO, etc.). Your plan picks one number out of that range. Your actual out-of-pocket depends on your deductible status, copay, and coinsurance, which the comparison tool can model when you fill them in.

Cash-pay rates are often cheaper than the negotiated rate, especially for high-deductible plans. Worth comparing both — the Ureteroscopy with lithotripsy (kidney stone) overview shows the cash-pay column alongside.